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Mechanically engineered hydrogel scaffolds for axonal growth and angiogenesis after transplantation in spinal cord injury
Journal article

Mechanically engineered hydrogel scaffolds for axonal growth and angiogenesis after transplantation in spinal cord injury

Ajay Bakshi, Omar Fisher, Taner Dagci, B Timothy Himes, Itzhak Fischer and Anthony Lowman
Journal of neurosurgery. Spine, v 1(3), pp 322-329
Oct 2004
PMID: 15478371

Abstract

Microscopy, Electron, Scanning Spinal Cord Injuries - drug therapy Hydrogels Polyhydroxyethyl Methacrylate Drug Implants Rats Axons - physiology Coated Materials, Biocompatible Rats, Sprague-Dawley Microscopy, Confocal Neovascularization, Physiologic - physiology Animals Nerve Regeneration - drug effects Spinal Cord Injuries - physiopathology
Spinal cord injury (SCI) is a complex pathological entity, the treatment of which requires a multipronged approach. One way to integrate different therapeutic strategies for SCI is to develop implantable scaffolds that can deliver therapies in a synergistic manner. Many investigators have developed implantable "bridges," but an important property of such scaffolds--that is, mechanical compatibility with host tissues--has been neglected. In this study, the authors evaluated the results of implanting a mechanically matched hydrogel-based scaffold to treat SCI. A nonbiodegradable hydrogel, poly(2-hydroxyethylmethacrylate) (PHEMA), was engineered using thermally initiated free radical solution polymerization. Two groups of 12 adult Sprague-Dawley rats underwent partial cervical hemisection injury followed by implantation of either PHEMA or PHEMA soaked in 1 microg of brain-derived neurotrophic factor (BDNF). Four rats from each group were killed 1, 2, or 4 weeks after induction of the injury. Immunofluorescence staining was performed to determine the presence of scarring, cellular inflammatory responses, gliosis, angiogenesis, and axonal growth in and around the implanted scaffolds. The implanted PHEMA with 85% water content had a compressive modulus of 3 to 4 kPa, which matched the spinal cord. Implanted PHEMA elicited modest cellular inflammatory responses that disappeared by 4 weeks and minimal scarring was noted around the matrix. Considerable angiogenesis was observed in PHEMA, and PHEMA soaked in BDNF promoted axonal penetration into the gel. The authors conclude that mechanically engineered PHEMA is well accepted by host tissues and might be used as a platform for sustained drug delivery to promote axonal growth and functional recovery after SCI.

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Web of Science research areas
Clinical Neurology
Surgery
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